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White Epidermoid of the Sylvian Fissure Masquerading as a Dermoid Cyst: An Extremely Rare Occurrence
We report the case of a 30-year-old female with a Sylvian fissure, white epidermoid which was radiologically looking like a dermoid cyst. The female presented with a headache with no neurological deficits. On radiology, the lesion was in Sylvian fissure, T1 hyperintense, T2 hypointense, and with min...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6515996/ https://www.ncbi.nlm.nih.gov/pubmed/31143281 http://dx.doi.org/10.4103/ajns.AJNS_241_18 |
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author | Gosal, Jaskaran Joseph, Jeena Khatri, Deepak Das, Kuntal Kanti Jaiswal, Awadhesh Gupta, Aviral |
author_facet | Gosal, Jaskaran Joseph, Jeena Khatri, Deepak Das, Kuntal Kanti Jaiswal, Awadhesh Gupta, Aviral |
author_sort | Gosal, Jaskaran |
collection | PubMed |
description | We report the case of a 30-year-old female with a Sylvian fissure, white epidermoid which was radiologically looking like a dermoid cyst. The female presented with a headache with no neurological deficits. On radiology, the lesion was in Sylvian fissure, T1 hyperintense, T2 hypointense, and with minimal diffusion restriction medially. Hence a preoperative impression of dermoid cyst was made, a quite uncommon location. Intraoperatively, the classical pearly-white flaky appearance of epidermoid was seen which was confirmed histopathologically. White epidermoids appearing so because of high protein content are a rarity and are more likely to cause aseptic meningitis in the event of intraoperative spillage. Differentiating between a dermoid cyst and white epidermoid preoperatively and radiologically is difficult. Dermoids show diffusion restriction and are usually midline, whereas white epidermoids do not show diffusion restriction and are usually lateral. This is the first report of a white epidermoid in Sylvian fissure to the best of our knowledge. |
format | Online Article Text |
id | pubmed-6515996 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-65159962019-05-29 White Epidermoid of the Sylvian Fissure Masquerading as a Dermoid Cyst: An Extremely Rare Occurrence Gosal, Jaskaran Joseph, Jeena Khatri, Deepak Das, Kuntal Kanti Jaiswal, Awadhesh Gupta, Aviral Asian J Neurosurg Case Report We report the case of a 30-year-old female with a Sylvian fissure, white epidermoid which was radiologically looking like a dermoid cyst. The female presented with a headache with no neurological deficits. On radiology, the lesion was in Sylvian fissure, T1 hyperintense, T2 hypointense, and with minimal diffusion restriction medially. Hence a preoperative impression of dermoid cyst was made, a quite uncommon location. Intraoperatively, the classical pearly-white flaky appearance of epidermoid was seen which was confirmed histopathologically. White epidermoids appearing so because of high protein content are a rarity and are more likely to cause aseptic meningitis in the event of intraoperative spillage. Differentiating between a dermoid cyst and white epidermoid preoperatively and radiologically is difficult. Dermoids show diffusion restriction and are usually midline, whereas white epidermoids do not show diffusion restriction and are usually lateral. This is the first report of a white epidermoid in Sylvian fissure to the best of our knowledge. Medknow Publications & Media Pvt Ltd 2019 /pmc/articles/PMC6515996/ /pubmed/31143281 http://dx.doi.org/10.4103/ajns.AJNS_241_18 Text en Copyright: © 2019 Asian Journal of Neurosurgery http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Gosal, Jaskaran Joseph, Jeena Khatri, Deepak Das, Kuntal Kanti Jaiswal, Awadhesh Gupta, Aviral White Epidermoid of the Sylvian Fissure Masquerading as a Dermoid Cyst: An Extremely Rare Occurrence |
title | White Epidermoid of the Sylvian Fissure Masquerading as a Dermoid Cyst: An Extremely Rare Occurrence |
title_full | White Epidermoid of the Sylvian Fissure Masquerading as a Dermoid Cyst: An Extremely Rare Occurrence |
title_fullStr | White Epidermoid of the Sylvian Fissure Masquerading as a Dermoid Cyst: An Extremely Rare Occurrence |
title_full_unstemmed | White Epidermoid of the Sylvian Fissure Masquerading as a Dermoid Cyst: An Extremely Rare Occurrence |
title_short | White Epidermoid of the Sylvian Fissure Masquerading as a Dermoid Cyst: An Extremely Rare Occurrence |
title_sort | white epidermoid of the sylvian fissure masquerading as a dermoid cyst: an extremely rare occurrence |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6515996/ https://www.ncbi.nlm.nih.gov/pubmed/31143281 http://dx.doi.org/10.4103/ajns.AJNS_241_18 |
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